Russell, Susan F

Russell, Susan F is an sole proprietor health care provider with primary practice located at 4343 Shallowford Rd Suite H-5, Marietta GA 30062-5023. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Family, Other Service Providers / Acupuncturist. Other Service Providers / Acupuncturist is her primary health care specialty. Russell, Susan F can be contacted via phone (770) 552-4155.

Contact Information

Primary practice address
4343 Shallowford Rd Suite H-5 Marietta GA 30062-5023
Phone: (770) 552-4155
Fax: (770) 552-4275
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X 001798 LMSW Georgia
Behavioral Health & Social Service Providers / Family 103TF0000X 1798 LMSW Georgia
Other Service Providers / Acupuncturist 171100000X 87 Georgia

Profile Details

NPI number 1558644617
LBN Legal business name Russell, Susan F
Credentials PHD,THD, L.AC.,LMSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2011
Last updated Sep 26th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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